PREVALENCE OF CHLAMYDIA TRACHOMATIS IN PREGNANT IRANIAN WOMEN: A SYSTEMATIC REVIEW AND META-ANALYSIS

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AZAMI MILAD; BADFAR GHOLAMREZA; Mansouri Akram; YEKTA KOOSHALI MOHAMMAD HOSSEIN; KOOTI WESAM; TARDEH ZEINAB; SOLEYMANI ALI; ABBASALIZADEH SHAMSI

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Journal: International Journal of Fertility & Sterility Year:2018 | Volume:12 | Issue:3 Page(s): 191-199

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Title

PREVALENCE OF CHLAMYDIA TRACHOMATIS IN PREGNANT IRANIAN WOMEN: A SYSTEMATIC REVIEW AND META-ANALYSIS

Author(s)

Keywords

CHLAMYDIA TRACHOMATIS

META-ANALYSIS

MYCOPLASMA HOMINIS

PREGNANT WOMEN

UREAPLASMA UREALYTICUM

Abstract

Several studies have been conducted regarding the prevalence of CHLAMYDIA TRACHOMATIS, MYCOPLASMA HOMINIS, and UREAPLASMA UREALYTICUM in pregnant Iranian women. However, it is necessary to combine the previous results to present a general assessment. We conducted the present study based on systematic review and META-ANALYSIS studies according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We searched the national and international online databases of MagIran, IranMedex, SID, MedLib, IranDoc, Scopus, PubMed, ISI Web of Knowledge, and Google Scholar search engine for certain MeSH keywords until June 16, 2017. In addition, heterogeneity, sensitivity analysis, subgroup analysis, and publication bias were performed. The data were analyzed using random-effects model and Comprehensive META-ANALYSIS version 2 and P value was considered lower than 0.05. The prevalence of CHLAMYDIA TRACHOMATISin 11 surveyed articles that assessed 2864 pregnant Iranian women was 8.74% [95% confidence interval (CI): 5.40-13.84]. The prevalence of CHLAMYDIA TRACHOMATIS was estimated 5.73% (95% CI: 2.09-14.73) and 13.55% (95% CI: 11.23-16.25) by enzyme-linked immunosorbent assay (ELISA) and polymerase chain reaction (PCR), respectively which the difference was not significant (P=0.082). The lowest and highest prevalence of CHLAMYDIA TRACHOMATIS was estimated in Tehran province [4.96% (95% CI: 2.45-9.810)] and Ardabil province [28.60% (95% CI: 20.61-38.20)], respectively. This difference was statistically significant (P<0.001). Meta-regression for the prevalence of CHLAMYDIA TRACHOMATIS based on year of the studies was significant with increasing slope (P=0.017). According to the systematic review, the prevalence of MYCOPLASMA HOMINISand Urea plasma urealyticum indicated 2 to 22.8% (from 4 articles) and 9.1 to 19.8% (from 3 articles), respectively. There was no evidence of publication bias (P value for Begg and Eggers’ tests was 0.161 and 0.173, respectively).The prevalence of CHLAMYDIA TRACHOMATIS is high among pregnant Iranian women. Screening PREGNANT WOMEN as part of preventive measures seem necessary considering the potential for maternal and fetal complications.

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APA: Copy

AZAMI, MILAD, BADFAR, GHOLAMREZA, Mansouri, Akram, YEKTA KOOSHALI, MOHAMMAD HOSSEIN, KOOTI, WESAM, TARDEH, ZEINAB, SOLEYMANI, ALI, & ABBASALIZADEH, SHAMSI. (2018). PREVALENCE OF CHLAMYDIA TRACHOMATIS IN PREGNANT IRANIAN WOMEN: A SYSTEMATIC REVIEW AND META-ANALYSIS. INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY, 12(3), 191-199. SID. https://sid.ir/paper/305995/en

Vancouver: Copy

AZAMI MILAD, BADFAR GHOLAMREZA, Mansouri Akram, YEKTA KOOSHALI MOHAMMAD HOSSEIN, KOOTI WESAM, TARDEH ZEINAB, SOLEYMANI ALI, ABBASALIZADEH SHAMSI. PREVALENCE OF CHLAMYDIA TRACHOMATIS IN PREGNANT IRANIAN WOMEN: A SYSTEMATIC REVIEW AND META-ANALYSIS. INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY[Internet]. 2018;12(3):191-199. Available from: https://sid.ir/paper/305995/en

IEEE: Copy

MILAD AZAMI, GHOLAMREZA BADFAR, Akram Mansouri, MOHAMMAD HOSSEIN YEKTA KOOSHALI, WESAM KOOTI, ZEINAB TARDEH, ALI SOLEYMANI, and SHAMSI ABBASALIZADEH, “PREVALENCE OF CHLAMYDIA TRACHOMATIS IN PREGNANT IRANIAN WOMEN: A SYSTEMATIC REVIEW AND META-ANALYSIS,” INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY, vol. 12, no. 3, pp. 191–199, 2018, [Online]. Available: https://sid.ir/paper/305995/en

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